Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1103 | TX |
Y | 222Z00000X | Podiatrist | 1103 | TX |
N | 224P00000X | Prosthetist | 1103 | TX |
NPI | 1093073157 |
---|---|
Provider Name | Stacian Linton |
First Address | Abilene, TX 79605-4603 |
Second Address | Abilene, TX 79605-4602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2012 |
Last Update Date | 03/02/2016 |